완전학습 모델을 기반으로 한 시뮬레이션 훈련이 전문심장소생술 습득에 미치는 효과
The Effects of an Advanced Cardiac Life Support Simulation Training Based on the Mastery Learning Model
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Purpose: This study was aimed to develop a simulation training program of an advanced cardiac life support (ACLS) based on the mastery learning model (Simulation-MLM), and evaluate the effects of the program on critical care nurses. Methods: As an experimental pre-post test with a non-equivalent control group, the study employed convenience sampling of 38 critical care nurses. The experimental group received the Simulation-MLM including a theoretical lecture, formative evaluation, and simulation training, whereas only a theoretical lecture for the control group. The knowledge, self-efficacy, and performance degrees of respondents were measured to verify the effects of the Simulation-MLM. The statistical processing of the collected data utilized the SPSS WIN 17.0 program. Results: After receiving Simulation-MLM, the participants in the experimental group reported higher marks in the knowledge, self-efficacy and performance of ACLS compared with those in the control group. However, both experimental and control groups demonstrated no significant differences in knowledge, self-efficacy and performance. Conclusion: Despite of the limitation of a small sample size, this study was considered meaningful in a sense that it showed a venue for improving ACLS training efficiency. Future research with more distinct treatment differentiation and better adequate outcome variables was warranted in order to prove the effects of a theory-based simulation education.
Abstract
Purpose: This study was aimed to develop a simulation training program of an advanced cardiac life support (ACLS) based on the mastery learning model (Simulation-MLM), and evaluate the effects of the program on critical care nurses. Methods: As an experimental pre-post test with a non-equivalent control group, the study employed convenience sampling of 38 critical care nurses. The experimental group received the Simulation-MLM including a theoretical lecture, formative evaluation, and simulation training, whereas only a theoretical lecture for the control group. The knowledge, self-efficacy, and performance degrees of respondents were measured to verify the effects of the Simulation-MLM. The statistical processing of the collected data utilized the SPSS WIN 17.0 program. Results: After receiving Simulation-MLM, the participants in the experimental group reported higher marks in the knowledge, self-efficacy and performance of ACLS compared with those in the control group. However, both experimental and control groups demonstrated no significant differences in knowledge, self-efficacy and performance. Conclusion: Despite of the limitation of a small sample size, this study was considered meaningful in a sense that it showed a venue for improving ACLS training efficiency. Future research with more distinct treatment differentiation and better adequate outcome variables was warranted in order to prove the effects of a theory-based simulation education.
참고문헌 (30)
- Baek, J. Y., "Effects of advanced cardiac life support simulation-based training on nurses' competence in critical care settings", 석사, pp.2006
- Barsuk, J. H., "Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit", Journal of Hospital Medicine, 4(7), pp.397~403 (2009)
- Bloom, B., "Mastery learning" (1971), Holt, Rinehart, & Winston
- Brannan, J. D., "Simulator effects on cognitive skills and confidence levels", The Journal of Nursing Education, 47(11), pp.495~500 (2008)
- Chamberlain, D, A., "Education in resuscitation", Resuscitation, 59(1), pp.11~43 (2003)
- 장선주, "시뮬레이션 교육이 중환자실 신규간호사의 응급상황 관련 지식과 자기효능감 및 수행능력에 미치는 효과", 성인간호학회지, 22(4), pp.375~383 (2010), 성인간호학회
- Dane, F. C., "In-hospital resuscitation: Association between ACLS training and survival to discharge", Resuscitation, 47(1), pp.83~87 (2000)
- Eppich, W. J., "Emergency and critical care pediatrics: Use of medical simulation for training in acute pediatric emergencies", Current Opinion in Pediatrics, 18(3), pp.266~271 (2006)
- Gall, M. D., "Educational research: An introduction(7th ed.)" (2003), Longman
- Good, M. L., "Patient simulation for training basic and advanced clinical skills", Medical Education, 37(Suppl. 1), pp.14~21 (2003)
- Hong, K. B., "The design and implementation of a blended instruction model of mastery learning in the college classroom: Focusing on the computer reservation subject matter", 석사, pp.2008
- Jung Y. H., "An implementation of gradual mastery learning system based on the analysis of academic achievement" (2008), Hanyang University
- Kim, C. G., "Pedagogy" (2006), Hyungseul
- Kim, G. S., "Effect of simulation-applied social studies classes on the learning of economics" (2002), Incheon National University of Education
- Kim, H. K., "Development of mastery learning theory" (1994), Moonumsa
- 김해란, "시뮬레이션기반 응급간호교육을 받은 간호학생의 학업성취도와 자기효능감, 학습태도 및 수업만족도의 관계", 한국간호교육학회지, 17(1), pp.5~13 (2011), 한국간호교육학회
- 김윤희, "시뮬레이션기반 심폐응급간호교육이 신규간호사의 지식, 임상수행능력 및 문제해결과정에 미치는 효과", Journal of Korean Academy of Nursing, 41(2), pp.245~255 (2011), 한국간호과학회
- 김영민, "전문소생술 입문과정에서 환자시뮬레이션 교육방식에 따른 의과대학생들의 반응 및 과정 성취도 비교", Korean Journal of Medical Education, 21(4), pp.353~363 (2009), 한국의학교육학회
- Kirkpatrick, D. L., "Evaluating training program: The four levels (3rd ed.)" (2006), Berrett-Loehler Publisher
- Lee, C. H., "Development and application of a job analysis tool for intensive care unit nurses", 박사, pp.2002
- Long, R. E., "Using simulation to teach resuscitation: An important patient safety tool", Critical Care Nursing Clinics of North America, 17(1), pp.1~8 (2005)
- McGaghie, W. C., "Research opportunities in simulation- based medical education using deliberate practice", Academic Emergency Medicine, 15(11), pp.995~1001 (2008)
- McGaghie, W. C., "A critical review of simulation-based medical education research : 2003-2009", Medical Education, 44(1), pp.50~63 (2009)
- Owen, H., "Comparison of three simulation-based training methods for management of medical emergencies", Resuscitation, 71(2), pp.204~211 (2006)
- Park, J. M., "The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning", 박사, pp.2006
- Perkins, G. D., "Simulation in resuscitation training", Resuscitation, 73(2), pp.202~211 (2007)
- Wayne, D. B., "Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice", Journal of General Internal Medicine, 21(3), pp.251~256 (2006)
- Wayne, D. B., "Simulationbased education improves quality of care during cardiac arrest team responses at an academic teaching hospital: A case-control study", Chest, 133(1), pp.56~61 (2008)
- 양진주, "간호학생을 위한 시뮬레이션 기반 교육과정 개발 및 평가", 성인간호학회지, 20(4), pp.548~560 (2008), 성인간호학회
- 유효빈, "통합 환자 시뮬레이터를 활용한 훈련에 대한 체계적 고찰", Korean Journal of Medical Education, 22(4), pp.257~268 (2010), 한국의학교육학회